Helena Center for Pediatric Medicine, Zagreb, Croatia.
Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2022 Aug;61(2):185-192. doi: 10.20471/acc.2022.61.02.03.
Numerous oral changes develop as a result of dysfunctional eating behavior in patients with eating disorders (ED). The aim of this study was to evaluate the correlation among oral manifestations, age, disease duration and nutritional status in pediatric patients with ED. The study included 50 female ED patients, median age 14 (range 10-18) years and median disease duration 9 (range 1-42) months. Nutritional status was expressed as z-score for body mass index (BMI). Mean BMI z-score was -2.10±1.64. The most commonly observed oral findings were dental plaque, marginal gingivitis, morsicatio, dental calculus, caries, pharyngeal erythema, exfoliative cheilitis and angular cheilitis. Dental plaque and pharyngeal erythema were correlated with shorter disease duration (p=0.048; p=0.040), while frictional keratosis of tongue was correlated with longer disease duration (0.011). Linea alba and pain in the temporomandibular joint were associated with younger age (p=0.012; p=0.024), and tooth impression on tongue with lower degree of nutrition (p=0.030). This study showed that there was a link among oral manifestations, age, disease duration and degree of nutritional disorder, although further investigations comparing the groups of ED patients with different age, disease duration and nutritional status would give better, concrete and precise conclusions.
由于进食障碍（ED）患者的功能失调性进食行为，会出现许多口腔变化。本研究旨在评估小儿 ED 患者的口腔表现、年龄、疾病持续时间和营养状况之间的相关性。该研究纳入了 50 名女性 ED 患者，中位年龄为 14 岁（范围 10-18 岁），中位疾病持续时间为 9 个月（范围 1-42 个月）。营养状况用体重指数（BMI）的 z 分数表示。平均 BMI z 分数为-2.10±1.64。最常见的口腔表现为牙菌斑、边缘性牙龈炎、磨牙症、牙石、龋齿、咽部红斑、剥脱性唇炎和口角炎。牙菌斑和咽部红斑与疾病持续时间较短相关（p=0.048；p=0.040），而舌摩擦性角化病与疾病持续时间较长相关（0.011）。白线和颞下颌关节疼痛与年龄较小相关（p=0.012；p=0.024），而舌齿痕与营养程度较低相关（p=0.030）。本研究表明，口腔表现、年龄、疾病持续时间和营养障碍程度之间存在关联，尽管进一步比较不同年龄、疾病持续时间和营养状况的 ED 患者组的研究将得出更好、具体和准确的结论。
